DR. PAUL M BIGLEY O.D.
NPI 1639284201
Optometrist in Troy, OH

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
1801 W MAIN ST, TROY, OH 45373(937) 339-3694(937) 339-4332 Get Directions Write a Review

NPPES record last updated: May 19, 2009. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Paul M Bigley O.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PAUL M BIGLEY O.D. (NPI 1639284201) is an individual optometrist in Troy, Ohio, licensed in Ohio (4530) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (1991).

NPPES Registry Identity

NPI1639284201
Entity TypeIndividualMale
Primary Taxonomy152W00000X
Provider Legal NameDR. PAUL M BIGLEYCredential: O.D.
Location Address1801 W MAIN STTroy, OH 45373-2303
Mailing Address1801 W Main StTroy, OH 45373-2303 · (937) 339-3694
Fax(937) 339-4332
Sole ProprietorNo
Medical School CMSPennsylvania College Of OptometryGraduated 1991
Enumeration DateAugust 21, 2006
Last NPPES UpdateMay 19, 2009
NPI 1639284201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License Licensed in OH · 4530
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
1801 W MAIN ST, Troy, OH 45373

Other Identifiers 1

Medicare UPINU51964OH

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Paul M Bigley O.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID244121424
PECOS Enrollment IDI20040324001566
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
166 services166 patients
Established patient problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
82 services82 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
69 services69 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45373 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Frames, purchases V2020
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier14 claims14 services$46.74 avg. paid by Medicare
Spherocylinder, bifocal, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens V2203
Other-Vision, Hearing, and Speech Services · category OC000N
1 supplier11 claims18 services$18.40 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Eyewear Supplier
1801 W MAIN ST
TROY, OH 45373
Home Health Aide
1801 W MAIN ST
TROY, OH 45373
Technician/Technologist (Optician)
1801 W MAIN ST
TROY, OH 45373
Pharmacy (Community/Retail Pharmacy)
1801 W MAIN ST
TROY, OH 45373
Technician/Technologist (Optician)
1801 W MAIN ST
TROY, OH 45373
Optometrist
1801 W MAIN ST
TROY, OH 45373
Technician/Technologist (Optician)
1801 W MAIN ST
TROY, OH 45373
Pharmacist
1801 W MAIN ST
TROY, OH 45373

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Paul Bigley's NPI number?

The NPI number for Paul Bigley is 1639284201. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is Paul Bigley located?

Paul Bigley practices at 1801 W Main St, Troy, OH 45373. The listed phone number is (937) 339-3694.

What is Paul Bigley's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Paul Bigley enrolled in Medicare?

Yes. Paul Bigley is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Paul Bigley accept?

Health plans from UnitedHealthcare list Paul Bigley as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Paul Bigley was last updated on May 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.